Individual
DR. BRUCE W VAN NATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
170 W 106TH ST, INDIANAPOLIS, IN 46290-1004
(317) 575-0330
(317) 846-5719
Mailing address
170 W 106TH ST, INDIANAPOLIS, IN 46290-1004
(317) 575-0330
(317) 846-5719
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01031291A
IN
Other
Enumeration date
05/03/2006
Last updated
04/22/2014
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